The pain shall not disappear because of MRI or X-ray. Those are investigative modalities that help to understand the problem. However, treatment is also not based only on report but a co-relation between MRI and examination of patient. Hence, it will be prudent if you visit shoulder specialist in person and then take it further. Without assessing it would not be possible to recommend any sort of management.

Can be Scapulothoracic bursitis MRI/X-ray will be normal.

Your MRI shows only a Grade-1 supraspinatus strain without any tear which explains why scans look largely normal despite persistent pain long standing pain around the shoulder blade and upper back is commonly due to muscle imbalance scapular dyskinesia postural overload or myofascial trigger points which do not always show clearly on X-ray or MRI. the clicking or cut-cut sensation usually comes from abnormal scapular movement or tight muscles not joint damage. Relief requires a targeted shoulder-blade–focused exercise program scapular stabilization, posture correction, and gradual strengthening while avoiding heavy overhead lifting, jerky movements, and prolonged slouched sitting. With consistent, correct rehabilitation and activity modification, symptoms usually improve, but chronic cases need long-term posture and muscle balance management rather than medicines alone.

Xray mri is investigation not treatment Shoulder may not be coming from the joint Physio and rehab is needed For chronic sprain injections are available

Ant treatment ongoing?